FDA Adverse Event Injury Summary report: N

OXFORD ANAT BRG RT SM SIZE 3 PMA

MDR report key: 23851603 · Received December 19, 2025

Report

Report Number
3002806535-2025-00655
Event Type
Injury
Date Received
December 19, 2025
Date of Event
November 22, 2025
Report Date
December 19, 2025
Manufacturer
BIOMET UK LTD.
Product Code
NRA
UDI-DI
05019279786145
PMA / PMN Number
P010014
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10 - ASSOCIATED MEDICAL DEVICES: OXFORD PH3 CEMENTLESS FEM SZ S; ITEM# 154925; LOT# 6286792. OXF UNI CMNTLS TIB SZ B RM; ITEM# 166573; LOT# 6232854. G2 - FOREIGN: EVENT OCCURRED IN CANADA. THE CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT APPROXIMATELY SIX YEARS AND NINE MONTHS AFTER THE INITIAL IMPLANTATION, THE PATIENT UNDERWENT A REVISION SURGERY DUE TO A FRACTURED BEARING. ATTEMPTS HAVE BEEN MADE AND NO FURTHER INFORMATION HAS BEEN PROVIDED AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
256459 OXFORD ANAT BRG RT SM SIZE 3 PMA PROSTHESIS, KNEE NRA BIOMET UK LTD. 6408408 05019279786145

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization| R SEE H11 NARRATIVE.